Judith Grant/Louise Grant Rice Scholarship Application

Applicants for this scholarship:

Must be an active member of Ascension Memorial Church.
Must be a high school graduate at the end of this term.
Must be of good character.
Will be pursuing educational degree programs.
Will benefit from financial assistance.

Applications are due no later than May 15, 2025

Name of Applicant

First Name

Last Name

Date of Birth

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

High School Information

Name of High School

High School Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

High School Phone

(###)

###

####

Family Information

Parent 1 Name

First Name

Last Name

Parent 1 Employer

Parent 2 Name

First Name

Last Name

Parent 2 Employer

Number of siblings

Ages of siblings

Number of siblings (including yourself) that will be attending college next year

Financial and Educational Information

Estimate of costs for one year

Estimated cost of tuition, fees, and books

Estimated cost of room & board

Estimated transportation costs

Estimate of other living costs

List any other scholarships (and the corresponding amounts for each) you expect to receive

List all colleges to which you have applied. Mark with an asterisk (*) the schools that you have been accepted to. Also indicate which school you plan on attending.

Academic Information

Year of Graduation

In your first semester of you senior year, what was your class rank?

In your first semester of you senior year, what was your GPA?

Extracurricular Activities

List below the activities that you have participated in at Ascension Memorial Church and describe the nature and extent of your participation in each activity. Activities include, but are not limited to, acolytes, child care, choir/choristers, youth group, maintenance assistance, Vestry or Diocesan Youth Representative.

List below your extracurricular activities, including clubs, sports, musical activities, volunteer work, community service, etc.

List below any honors and awards you have received.

Please send the following materials via email to amcipswich@verizon.net with the subject line “Judith Grant Rice Scholarship”.

A copy of your academic transcript.
An essay of 2 pages or less explaining what Ascension Memorial Church means to you and what it would mean to receive a scholarship (specifically) from Ascension Memorial Church.